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Absence Form
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Student First and Last Name
*
Your answer
Parent/Guardian First and Last Name
*
Your answer
Parent/Guardian Email
*
Your answer
Who is your child's homeroom teacher?
*
Choose
Pre-School - Ms. Stein
Pre-K - Mrs. Martin
K - Ms. Hall
K - Mrs Hyde
1 - Ms. Tauren
1 - Ms. Gardner
2 - Mrs. Cullen
2 - Ms. Bridges
3 - Ms. Benavidez
3 - Mr. Gollob
4 - Ms. Potocki
4 - Mrs. Born
5 - Ms. Walters
5 - Mr. McFall
Date of Absence
*
MM
/
DD
/
YYYY
Reason For Absence (If there will be more than one day please list here)
*
Your answer
If for illness, please list symptoms and date of onset
Your answer
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